NPI | 1841342300 |
---|---|
Other Name | BLUE MESA DENTAL OF AURORA |
Entity Type | Organization |
Authorized Contact | NORMA BERENICE GRIJALUA Office Manager 303-337-0789 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 6619) |
Additional Taxonomies | 122300000X Dentist (Licence: CO 8934) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |